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目的:了解某医学院校预防医学专业学生第二课堂开展情况，探索第二课堂感知对第一课堂和第二课堂成绩的影响。方法:自制第二课堂感知调查问卷，问卷涉及组织支持、教师指导、学生参与等方面内容。于2019年8月对某医学院校预防医学系大四全体在校学生利用该问卷展开第二课堂感知问卷调查。同时从该校共青团委处获得学生第二课堂成绩，从该校预防医学系教务科获得学生第一课堂成绩。对第二课堂感知各维度及总分、第二课堂成绩、第一课堂成绩分别做Pearson相关性检验，验证第二课堂感知对第一课堂和第二课堂成绩的影响。采用SPSS 19.0进行正态性检验、卡方检验和相关性分析。结果:发放并回收95份有效问卷。经检验发现，学生第二课堂感知总分较高（66.23分），其中教师引导得分最高为73.10分，而学生参与得分最低仅为61.85分。第二课堂感知对第一课堂成绩、第二课堂成绩均有重要影响，尤其表现在组织支持和教师指导方面。结论:第二课堂中教师的作用至关重要，同时学生参与度受到学生自身和校方因素影响。应重视第二课堂，需要在组织、教师和学生层面采取有效措施。“,”Objective:To understand the development of extracurricular activities among students majoring in preventive medicine in a medical college and explore the impact of perception of extracurricular activities on major courses and extracurricular performances.Methods:A self-made questionnaire on the extracurricular perception was conducted, involving such aspects as organizational support, teacher guidance, student participation, etc. In August 2019, all senior students from Department of Preventive Medicine of a medical college were investigated by the questionnaire. At the same time, we had the extracurricular performances of the students from the Communist Youth League Committee and the major courses performances from the Academic Affairs Section of the Department. The Pearson test was conducted on the dimensions and total score of extracurricular perception, extracurricular performance and major courses performance to verify the impact of extracurricular perception on major courses and extracurricular performances. SPSS 19.0 was used for normality test, chi-square test and correlation analysis.Results:A total of 95 valid questionnaires were distributed and collected. It was noted that the total score of students\' extracurricular perception was higher (66.23 points), among which, the highest score of teacher guidance was 73.10, while the lowest score of students\' participation was 61.85. Extracurricular perception had a significant impact on major courses and extracurricular activities, especially in organizational support and teacher\'s guidance.Conclusion:Teachers play an important role in extracurricular activities, and students\' participation is influenced by students and school factors. It is suggested that the school should pay attention to extracurricular activities in the process of cultivating college students, education environment should be optimized, funds should be guaranteed, the extracurricular courses should be improved, and the management system should be improved. For the teachers, teachers\' professional level should be improved. Teachers should provide helpful guidance for students. At the same time, teachers should learn to use new technologies to build a better environment for students\' learning. In addition, teachers should provide students with opportunities to be involved in extracurricular activities and create platforms. Finally, students should actively participate in all kinds of activities both inside and outside the school.